Social Media Request Form

The IBX Team is here to help!

If you have a question about your coverage, benefits, claims, or enrollment, please provide some additional contact information so we can better assist you.

* required fields

* First name:

* Last name:

Group/Provider/Member ID number:

Facebook or Twitter name:

* Mobile phone number:

* Email address:

* Please provide a brief description about the nature of your inquiry:

How would you prefer to be contacted?

Email
Phone

To ensure your privacy, all information will be sent via a secure connection. Independence Blue Cross will not disclose any personal information to outside persons or entities unless we have written consent or unless authorized by law.

Please see our Notice of Privacy Practices for more information.